10450 SW JOHNSON STREET 10450 SW JOHNSON STREET
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BUILDING PERMIT APPLICATION TIGARD DATE___ —Z? �° 0392
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT Fore THE: WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLP,NC AND SPECIFICATIf S, OWNER PHONE
OWNER , �'x 11a1U __ADDRFis 10450 5*0. r_'—` — 9111!DER PHONE _
ENGII`EER
QU1LDER '-t)�.lrtnt)i:ti 141 111tkMl4:'aIT..:I>" AR•C�HJECT ----- — — DESIGNER ,—
STRUCTURE ❑NEW r EMODEL ❑ADDITION EIRE-AIR ❑RENEWAL ❑FIRE DAMAGE ❑DEMOLITION
❑ RESIDENCE ❑COMM GEDUCATIONAL ❑GOV T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
QBOND ❑MOV ING ❑CONDITIONAL USE ❑DESIGN REVIEY7 ❑COUNCIL APPROVED ❑SIGNS
GLCUPANC v'--LAND USE ZJNE-- BLDG.TYPE FIRE ZONE_ PLAN CHECK BY_ HEAT _
construct 341 x '"..^ x alt' ballow igraund swimmin;i pool
C LOAD FLOOR LOAD_ HEIGHT — NO.STORIES AREA VALUE 6500
B'JILDING DEPARTMENT SET 9AC(3 FRONT REAR __— LEFT SIDE R13HT SIDE
Permit 40a U ---�—�— _---- ---- _.— -
-- TH S PERMIT IS ISStIED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGUL.%TIONS AND ALI APPLICABLE CODES .AND ORDINANCES, AND IT IS HEREBY AGREED THAT THS
- WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFILATIONS AND IN COMPLIANCE WITH
Recording ALL APPLICABLE CODES AND ORDINANCES. THF ISSUANCE OF THIS PERMIT DOES NOT WPIVE
- RESTRICTIVE COVENANTS. CONTRACTOR ANL SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS
176 State • LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total �A1•ai+
BY--- r f
-----.------ /APPLICANT OR AGENT
Approved Receipt No.
ADDRESS011 -----
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DATEINEP. TYPE INSPECTION REMARKS PLUMBING DATE
Coi,:ractorV S�
n _ Permit N). j_
_ of Fixture_—
Fiiial
✓ HEATING
Contractor
Permit No.
Gas or Oil
Final
—— -- —� ----- — SEWER --
- — — — —
Finalr —
DRIVEWAY
Final _
�.__— _ — ------ _-- Storm Drainage
(Rain Drain) Final — —
Sidewalk
Curb&Street Final
A roach
BLDG.DEPT.FINA:. TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
[Landscaping
Zoninq Final
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CITY O'
BUILDING PERMIT APPLICATION TIGARD DATE. — —___ Is 7a N° 0372
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED
OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE_ --.
QWNER Roger Dean Hold ADDRESS __ _BUILDER PHONE
ENGINEER
fiui EJ2 R____. �_ A�H1T_ T -------- - -- DESIGNER -1---------
ST_RUCTURE r-❑NEW ❑REMOr'-I ❑ADDITION — ❑REPAIR �- L..IPENEWAL [:]FIRE DAMAGE []DEMOLITION
❑ RESIDENCE ❑COMM OFDUCAT, P. ❑GOV'T ❑RELIGIOUSDPATIO ❑CARPORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE
❑BOND ❑MOVING ❑CONDITICNAL USE ❑DESIGN RF.IIIEW ❑COUNCIL APPROVED ❑5IGNS,
OCCUPANCY LAND USE ZONE-__ _ —BLDG.TYPE_ _FIREZONE— PLAN CFIECK BY_._ HEAT- - _
c3q tltaai �.� ra�s�id�lnc.es — ��tt.+arlr; Oradr�;ium r:5.^,d eddinw bath
OCC. LO_} _FLOOR LOAD HEIGHT NO.STORIES_- ARFA _— VALUE
BU;LOING DEPARTMENT _ SET BACKS FRONT REAR LEFT SIDF RIGHT SIDE
Pet mit
-'- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAIr1ED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND ALL APF'.ICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE
WORK WILL BE DONE IN ACCORDANCE 'KITH THE PLANS AND SPECI-'CATIONS AND IN COMPLIANCE WITH
Recoding ALL APPLiCA9LE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RES',RICTIVF COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CI'RRENT CITY BUSINESS
1%swe « LICENSE SEPARATE PERMITS REQUIRED FOR SEWER, PLUMBING AND HEATING.
Total sH.26
By rfo
------- APPLICANT OR AGENT
Approved Receipt No.
AbOnEss
1
DA1 E INSP. TYPE INSPECTION REMARKS PLUMBING DAIL
DAU
Contractor
Permit No.
Rough-in
cz- Fixture
Finp'
HEATING
Contractor
Permit No.
Gas or Oil
Rough-in
Final
SEWER
DRIVEWAY
Final
Storm Draina e-
(Rain Drain) Final
Sidewalk
Curb&Street Final
roach
BLDG.DEPT, FINAL TEMPORARY CERTIFICATE OCCUPANCY
CERTIFICATE OCCUPANCY Final
Landscaping
Zoning Final
J
now-
Addreea 'C v �/ b � Permit No.
Permit charge
T�, �_ 0 Connection fee
Owner ���. �. � � �.. �...
Paid by li- uc.4&I
Type of building ��s Date connected 0-
7�1
Service rate Inerpaction fee
Contractor Paid by date
Size of connection Aaeeeeaent paid
9 7 y , )